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Oral semaglutide 7 mg and 14 mg doses showed superior reductions in blood sugar and weight compared to sitagliptin at 26 weeks in data presented at ENDO | ||||||||||
By: PR Newswire Association LLC. - 23 Mar 2019 | Back to overview list |
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NEW ORLEANS, March 23, 2019 /PRNewswire/ -- Oral semaglutide 7 mg and 14 mg demonstrated superior A1C and body weight reductions compared to Januvia® (sitagliptin 100 mg). Non-inferiority for oral semaglutide 3 mg for A1C reduction at 26 weeks was not confirmed. Presented today at the Endocrine Society Annual Meeting in New Orleans, Louisiana, with simultaneous publication in the Journal of the American Medical Association (JAMA)1, PIONEER 3 was a Phase 3a trial investigating the efficacy and long-term safety of oral semaglutide 3 mg, 7 mg and 14 mg compared with sitagliptin 100 mg in adults with type 2 diabetes inadequately controlled with metformin, with or without sulfonylurea, over 78 weeks. Oral semaglutide is an investigational once-daily glucagon-like peptide-1 (GLP-1) receptor agonist in a pill. "Many people living with type 2 diabetes do not meet their blood glucose targets despite many available oral antidiabetic therapies," said Dr. Dale Allison, PIONEER 3 investigator and Director of Medical Research at the Hillcrest Family Health Center, Waco, TX. "The PIONEER 3 findings are encouraging, as oral semaglutide demonstrated clinically significant improvement in A1C and this investigational therapy has the potential to become the first oral GLP-1 receptor agonist for those living with type 2 diabetes." In PIONEER 3, the primary endpoint of A1C and confirmatory secondary endpoint of change in body weight were assessed after 26 weeks of treatment. When applying the primary statistical approacha, oral semaglutide 7 mg and 14 mg demonstrated superior A1C reductions of 1.0% and 1.3% at 26 weeks, compared to a 0.8% reduction with sitagliptin (both p<0.001). Oral semaglutide 3 mg demonstrated a reduction in A1C of 0.6%; non-inferiority compared to sitagliptin was not confirmed (p=0.09). Furthermore, at 26 weeks, oral semaglutide 7 mg and 14 mg demonstrated superior body weight reductions of 2.2 kg and 3.1 kg, both compared to a 0.6 kg reduction for sitagliptin (p<0.001). When applying the secondary statistical approachb at week 26, oral semaglutide 7 mg and 14 mg demonstrated statistically significant reductions in A1C of 1.1% and 1.4%, respectively, compared to a 0.8% reduction with sitagliptin (both p<0.001). Reductions in A1C seen with oral semaglutide 3 mg were 0.5% and compared to the reductions seen with sitagliptin, the difference is statistically significant in favor of sitagliptin. Reductions in body weight from baseline were statistically significant in favor of all three oral semaglutide doses. In a supportive secondary endpoint at 78 weeks, oral semaglutide 14 mg demonstrated statistically significant reductions in A1C compared to sitagliptin for both statistical approaches (1.1% vs 0.7%; p <0.001a; 1.1% vs 0.4%; p<0.001b). There was no statistically significant difference with oral semaglutide 3 mg (both estimands) or 7 mg (TPol estimand) vs sitagliptin. Reductions in body weight from baseline, which was dose dependent, were statistically significant with oral semaglutide 3 mg, 7 mg and 14 mg at week 78 with reductions of 1.8 kg, 2.7 kg and 3.2 kg, respectively, compared to a 1.0 kg reduction with sitagliptin (all p<0.05a) and 1.9 kg, 2.7 kg and 3.5 kg, respectively, compared to a 1.1 kg reduction with sitagliptin (all p<0.05b). In this 78-week trial, the most common adverse event for oral semaglutide was nausea, which was dose dependent, affecting 7.3% to 15.1%. The nausea rate for sitagliptin was 6.9%. People taking oral semaglutide 3 mg, 7 mg or 14 mg reported serious adverse events at a rate of 13.7%, 10.1% and 9.5%, respectively, compared to a rate of 12.4% of those taking sitagliptin. The proportion of people who discontinued treatment due to adverse events was 5.6%, 5.8% and 11.6% for people treated with oral semaglutide 3 mg, 7 mg and 14 mg, respectively, compared to 5.2% with sitagliptin. About PIONEER 3 and the PIONEER clinical trial program The PIONEER Phase 3a clinical development program for oral semaglutide was a global development program that enrolled 9,543 people with type 2 diabetes across 10 clinical trials. The program was completed in 2018. About Novo Nordisk
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SOURCE Novo Nordisk |
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